2017年麻醉科年终工作总结及2017年工作计划2.doc

2014年麻醉科年终工作总结及2015年工作计划在过去的一年里，我科室紧紧围绕加快科室发展这个中心，在总支院办的领导下，以“二甲医院复审”活动为契机，不断提高医疗质量，全力保障医疗安全，推进治庸问责，提高全科素质，较好完成了院领导预定的各项工作目标。1医疗业务指标1.1临床麻醉截止2014年12月20日，我科完成手术麻醉台次，同比增加%。其中全身麻醉例，占%；椎管内阻滞例，占%。业务收入纯结余1.2危重患者监测与复苏全年共抢救危重患者例，其中麻醉手术患者例，成功率%；参与临床急救与复苏例，成功率%。1.3无痛舒适医疗完成术后镇痛187例，其中患者自控镇痛152。开展预实验（免费）无痛人流20例，无痛胃镜2例。业务收入纯洁余约15000.00元。2科研教学2.1主持申请和筹备新技术、新业务、新科研项目1项（无痛舒适医疗）。2.2参与申请和筹备开展巴东县医务人员健康调查项目。2.3受护理部委托开展cvp监测基础与临床培训。2.4应急诊科、内一科、外一科、外三科等临床科室之邀，多次组织开展呼吸机的操作常规与日常维护培训。2.5组织编写巴东县人民医院icu手册，并联合手术室共同举办2014cpr指南、气管内插管及简易呼吸器的使用、德尔格呼吸机临床指南培训。2.6因全年转科无住院医师、进修医师和实习医师进入本科室学习，故麻醉科信息化建设、血气分析的基础与临床、无痛舒适医疗概论、喉罩的临床使用等临床教学局限于科室内部。2.7阶段性总结课题2项，即长托宁与丙泊酚复合氯胺酮小儿麻醉、瑞芬太尼患者自控镇痛在剖宫产术后的应用，后者获得2014年度巴东县科技进步奖1项。2.8参加学术交流3人次，全麻苏醒延迟4例的临床分析、全麻苏醒延迟的原因探讨、瑞芬太尼用于无痛人流的国内现状等学术论文被收录。2.9外出进修医师邓贵锋顺利反院，在科室内进行了总结汇报现代麻醉学科的工作范畴，计划并启动（2014年-2015年）推广经典喉罩的临床应用工作。3质量管理3.1张世刚同志应邀参加了恩施州麻醉医学会的成立典礼，并当选为第一届学会委员和质控小组成员。3.2全年1例患者术中知晓、2例神经阻滞后并发气胸、4例患者苏醒延迟、8例患者在术后镇痛过程中不慎遭遇硬膜外导管脱出或严重恶心呕吐，麻醉科医师先后数次被投诉，经充分沟通达成共识。3.3麻醉科是高风险的科室，我科同仁坚持以人为本，坚持以质量为核心，反复查找安全隐患，多次组织应急演练，全力防范医疗事故。同时，积极探索新形势下基层医院麻醉质量管理，麻醉质量控制易于忽视的问题已在电子版杂志刊发。4存在不足4.1安全隐患长期存在，质量管理警钟长鸣。4.2慵懒散软气氛较浓，工作效率持续偏低。4.3科间矛盾时有发生，联谊之会亟待落实。5、2015年工作要点5.1积极完成总支院办部署的各项工作任务，推进“”创先争优、“三好一满意”、“治庸问责”、“医院管理年”等主题活动。5.2预计完成2014年总手术台次的90%-110%，提高全身麻醉的比例，推广应用喉罩。推进患者自控镇痛的临床应用。5.3拓宽有创监测指征，强化医疗安全。5.4抓实无痛人流、无痛胃肠镜工作。5.5筹备无痛分娩工作。5.6抓实麻醉科信息化建设。5.7参与巴东县医务人员健康调查。5.8加强继续医学教育。5.9优化工作流程，加强科间协作，提高工作效率。5.10创造更好的工作环境和工作条件，再次申请购置血气分析仪等设备。在省部级教学医院，现代麻醉科是为社会所熟知和认可的重点学科。在巴东县人民医院等基层医疗机构，麻醉科是一个非常被动的“幕后英雄式”临床科室。但我们相信，在总支院办的领导下，在医务质检科、宣传科、信息科等有关部门/科室的指导下，在优秀学科带头人的带领和优秀学术骨干的支持下，麻醉科一定能顺利发展，麻醉科信息化建设一定能早日实现！9jwkffwvg#tym*jg&6a*cz7h$dq8kqqfhvzfedswsyxty#&qa9wkxfyeq!djs#xuyup2knxprwxma&ue9aqgn8xp$r#͑gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amue9aqgn8xp$r#͑gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z8vg#tym*jg&6a*cz7h$dq8kqqfhvzfedswsyxty#&qa9wkxfyeq!djs#xuyup2knxprwxma&ue9aqgn8xp$r#͑gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxg89amue9aqgn8xp$r#͑gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z8vg#tym*jg&6a*cz7h$dq8kqqfhvzfedswsyxty#&qa9wkxfyeq!djs#xuyup2knxprwxma&ue9aqgn8xp$r#͑gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amue9aqgn8xp$r#͑gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnugk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$u*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6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